Knowledge and perceptions of COVID-19, prevalence of pre-existing conditions and access to essential resources in Somali IDP camps: a cross-sectional study.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
29 06 2021
Historique:
entrez: 30 6 2021
pubmed: 1 7 2021
medline: 6 7 2021
Statut: epublish

Résumé

This study examined knowledge and perceptions of COVID-19, prevalence of pre-existing conditions and access to essential resources among residents of internally displaced person (IDP) camps in Somalia, where overcrowded settlements with weakened infrastructure, inadequate water, sanitation, and hygiene facilities, and limited access to health services make this vulnerable population particularly susceptible to a COVID-19 outbreak. A descriptive, cross-sectional survey. Twelve IDP camps across six areas of the Lower Shabelle region in Somalia. 401 adult Somali IDP camp residents. The majority of participants were female (86%) and had received no formal education (89%). While 58% reported being in 'good' health, half of the participants reported having one or more pre-existing conditions. Though 77% of respondents reported taking at least one COVID-19 preventative public health measure, respondents reported a lack of access to adequate sanitation, an inability to practice social distancing and nearly universal inability to receive a COVID-19 screening exam. Questions assessing knowledge surrounding COVID-19 prevention and treatment yielded answers of 'I don't know' for roughly 50% of responses. The majority of participants were not familiar with basic information about the virus or confident that they could receive medical services if infected. 185 (47%) respondents indicated that camp living conditions needed to change to prevent the spread of COVID-19. This study highlights low levels of COVID-19 knowledge and limited access to essential prevention and treatment resources among individuals living in Somali IDP camps. A massive influx of additional resources is required to adequately address COVID-19 in Somalia, starting with codesigning interventions to educate those individuals most vulnerable to infection.

Identifiants

pubmed: 34187818
pii: bmjopen-2020-044411
doi: 10.1136/bmjopen-2020-044411
pmc: PMC8245279
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e044411

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Jude Alawa (J)

Stanford University School of Medicine, Stanford, California, USA.

Samir Al-Ali (S)

Yale University, New Haven, Connecticut, USA.

Lucas Walz (L)

Yale University School of Public Health, New Haven, Connecticut, USA.

Eleanor Wiles (E)

Milken Institute of Public Health, The George Washington University, Washington, DC, USA.

Nikhil Harle (N)

Yale University, New Haven, Connecticut, USA.

Mohamed Abdullahi Awale (MA)

SIMAD University, Mogadishu, Somalia.

Deqo Mohamed (D)

Hagarla Institute, Mogadishu, Somalia.

Kaveh Khoshnood (K)

Yale University School of Public Health, New Haven, Connecticut, USA kaveh.khoshnood@yale.edu.

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Classifications MeSH